Just some quick thoughts on the Virtual Information Session on COVID-19 Vaccines, Session 2 on 4/19/2021. This was another enlightening presentation. I just noticed that you’ll have to scrub forward to about 10 minutes and 30 seconds to start playback on the YouTube recording. This gap might be edited out in the near future.
It’s worth noting that the risk for getting blood clots from COVID-19 infection is greater than the risk for getting them from the vaccines, according to Dr. Pat Winokur, University of Iowa and Dr. Caitlin Pedati, IDPH. There were other educational answers to very good questions from the audience.
Don’t forget the third session on Saturday, 4/24/2021 at 10:00 a.m. in Spanish only for the YouTube event while the WebEx event will be a bilingual event. See this link for full details.
There will be three live, free, virtual information sessions on the COVID-19 vaccines starting today at 10:00 a.m. Guest speakers include Pat Winokur, MD, Executive Dean, Carver College of Medicine; Institute for Clinical and Translational Science (ICTS); Professor of Internal Medicine–Infectious Disease. The third session will be available in Spanish. The sessions are scheduled for April 17, 19, 24.
Addendum: The first presentation this morning was very informative and a recording of it will be available at the link above.
Addendum: The video recording of today’s event doesn’t start until about 8 minutes and 27 seconds after you click on the start play button, so you can scrub ahead to that point to avoid the wait.
Addendum: This afternoon around 3:00 PM when I looked at the video recording the lag time problem on startup had been fixed.
The CDC is updating information about the pause in administration of the Johnson & Johnson COVID-19 vaccine because of a small number of reported cases of rare and severe blood clots after receiving the vaccine. See the link here for updates as new information becomes available. You can also find the updates page in the menu link above titled “CDC GUIDANCE COVID-19 VACCINES.” I’ll stick this post to the top of the blog for now.
The CDC web page about this issue offers important guidance for health care professionals and patients.
See the video below from the University of Iowa for more information:
The CDC and FDA issued a joint statement about pausing the Johnson & Johnson Covid-19 vaccine on April 13, 2021 because of concerns about rare but serious blood clots associated with it. See the FDA YouTube below for more information. There will be a meeting today of the Advisory Committee on Immunization Practices (ACIP) to review the cases and assess further significance. The Iowa Department of Public Health has recommended that all agencies pause administration of the Johnson & Johnson vaccine. The recommendation is being followed, comments by University of Iowa Health Care experts are reported in the Daily Iowan. The CDC has posted a Health Alert Network notice.
It has been a couple of days since my second COVID-19 vaccine shot a couple of days ago. Consistent with what is known about the side effect profile of the second jab, I had one day of the well-described generalized aches and fatigue besides the sore arm, which didn’t limit my activities. It’s working.
I want to thank the University of Iowa Health Care Support Services Building (HSSB) personnel for a kind, well-organized approach to the vaccine administration process for so many people. This was a way for HSSB to shine a light. It was also an opportunity for many to shine their lights—protecting others as well as themselves.
Dr. Patricia Winokur, MD, Executive Dean and Infectious Diseases specialist at the University of Iowa Hospitals and Clinics, deserves special mention for her superb educational video presentations on the COVID-19 vaccines. Now there’s a big light—more like a beacon.
Her father was George Winokur, MD, who was a very influential psychiatrist and a past chairman of the University of Iowa Department of Psychiatry. He had a great sense of humor and was fond of reminding trainees that we had a lot to learn. He came up with a set of 10 commandments for residents:
Winokur’s 10 Commandments
Thou shalt not sleep with any UI Psychiatry Hospital patient unless it be thy spouse.
Thou shalt not accept recompense for patient care in this center outside thy salary.
Thou shalt be on time for conferences and meetings.
Thou shalt act toward the staff attending with courtesy.
Thou shalt write progress notes even if no progress has been made.
Thou shalt be prompt and on time with thy letters, admissions and discharge notes.
Thou shalt not moonlight without permission under threat of excommunication.
Data is thy God. No graven images will be accepted in its place.
Thou shalt speak thy mind.
Thou shalt comport thyself with modesty, not omniscience.
I got a shout-out to the University on Match Day today. A special congratulations to the Psychiatry Department and the new incoming first year residents. I know they’re going to let their lights shine, especially if they commit Winokur’s 10 Commandments to memory.
I’m reminded of Dr. Joan Y. Reede, MD, MPH, MS, MBA, who delivered the Martin Luther King, Jr. Distinguished Lecture in January. Her light glowed. By the way, she delivered the 2018 Harvard Deans Community Service Awards to medical students whose lights shone brightly.
I also remember my former English Literature professor at Huston-Tillotson College in Austin, Texas ages ago, Dr. Jenny Lind Porter-Scott, who carried her lantern high. I have a copy of one of her books of poetry, The Lantern of Diogenes and Other Poems. The lead poem fits the theme today:
This morning I got my 2nd COVID-19 vaccine shot at the Health Care Support Services Building (HSSB)—just in time for St. Patrick’s Day, as luck would have it. Sena got her first shot yesterday and is scheduled for her second next month. I forgot to wear green, which worried me a little while I was waiting in line when the lady ahead of me poked a lot of fun at a guide for the same sin. He pointed to something bright green on the sole of his shoe, which I didn’t inspect too closely, and which didn’t pass the lady’s inspection.
After my first shot last month, I had some swelling, soreness, redness, and itching in my left arm which didn’t limit my activities. Today, the nurse affirmed that my symptoms after the first shot were not uncommon and that I might have more symptoms after my second shot—or none at all. Like my first experience, the process was very smooth and fast.
I didn’t pay much attention to the type of vaccine I got. I felt lucky to get it. All three, Johnson and Johnson, Moderna, and Pfizer are effective. According to a recent news report, about 88% of Americans who got the first dose of the Pfizer or Moderna vaccine completed the 2-shot series, based on a CDC study of 12 million people.
In other important news, just this past Sunday I spread crab grass preventer and fertilizer on our lawn. On Monday, I shoveled snow from our driveway. Sena assured me that the snow would not hinder the lawn treatment. In fact, things are greening up nicely for St. Patrick’s Day.
The robins have probably been around for about a week. I noticed a robin standing in the street Monday while the snow was coming down. It was mesmerized and seemed to be thinking like me, “Just my luck. Now what?” But the robin didn’t have to shovel a driveway. Luck comes and goes.
I nearly got a 29-hand playing cribbage with Sena last night. She nearly always wins. The odds of getting a 29-hand are 1 in 216,580. In my hand I had the jack of spades and 3 of the four 5 cards. All I needed was a spade 5 cut card, which I did not get. Some players think cribbage is 2/3 luck and 1/3 skill. You need both.
Me and the robin keep looking for the warmer spring sun, and any other good fortune which is coming—and not dependent just on luck.
Today I got my first COVID-19 vaccine shot and I’m scheduled for the second one. This was through the University of Iowa Hospitals & Clinics (UIHC). It was a slick operation and a lot of people like me (in the 1b class) were getting vaccinated. There were very kind and efficient persons guiding me everywhere I needed to go, starting in the parking lot, all the way in the building, leading to the person who administered the vaccine. And from there, I was never at a loss for where to go next, which was to the waiting room for observation for 15-30 minutes. I got jabbed. I stuck around for at least 15 minutes as required and had no worrisome reaction symptoms. I was in and out in a half hour.
I requested the vaccine through MyChart about a week ago. I got notified to schedule yesterday through MyChart. I kept getting a message that there were no available openings. I was just going to check back periodically, but was pleasantly surprised this morning when they telephoned me inviting me to come in today.
I also found out from a news item this morning that the Iowa COVID vaccine provider portal may have a glitch in it. Some of the counties were not able to post accurate data. Some are listed as not having available vaccine providers when, in fact, they do. The list varies from day to day. For now, I removed the web link from the menu on my blog until they get it worked out, which I hope will be soon.
But UIHC definitely did not have a problem getting the vaccine into arms today. There are two ways to request the vaccine: through MyChart or a web-based request form. Hang in there and keep trying.
The UIHC COVID-19 Vaccine Clinic gets the Triple Whammy Shout-Out for kindness, safety, and a great job.
Go Retire Psychiatrist 